Dizziness & Balance

Dizziness, a blanket term used to describe any feeling of unsteadiness, is one of the leading health complaints in the United States, affecting an estimated nine million people annually. For those over the age of 70 it’s the top reason for a visit to the doctor’s office.

What Are the Causes of Dizziness?

Dizziness is the result of your brain receiving false signals from the balance system (comprised of the inner ear, eyes and sensory nerves). It senses movement and overcompensates, leading to a spinning sensation, weakness and faintness.

Several balance disorders are commonly associated with dizziness and/or vertigo.

Benign Paroxysmal Positional Vertigo (BPPV) involves brief but intense periods of vertigo that are triggered by specific changes in head position. It occurs when tiny crystals in the otolith organs become dislodged and migrate to the semicircular canals.

Meniere’s disease is a chronic condition that causes vertigo, tinnitus, fullness in the ear and fluctuating hearing loss that may eventually become permanent. Meniere’s is usually confined to one ear and though its cause is unknown it may be the result of abnormal fluid buildup in the inner ear.

Labyrinthitis is an inflammation of the inner ear usually caused by an infection. Its symptoms include vertigo, temporary hearing loss and tinnitus.

Migraine related vertigo can occur before the onset of a headache, during a headache or on its own. Many patients who experience migraines actually experience dizziness or vertigo as their primary symptom. Vertigo is also a common symptom of basilar migraines, also known as Bickerstaff syndrome.

Vestibular neuronitis is disease of the vestibular nerve that causes severe episodes of vertigo. The vestibular nerve is responsible for sending messages from the inner ear to the brain. If the vestibular nerves in each ear are sending different signals, the result is an inability to feel balanced.

What Other Symptoms Are Associated with Dizziness?

Patients who experience dizziness report a variety of symptoms depending on the exact nature of their balance disorder. These include:

Lightheadedness.

Fainting.

Unsteadiness.

Weakness.

Vertigo (the sensation of movement in your surroundings).

Confusion.

Disorientation.

Blurred vision.

How Is Dizziness Treated?

Treatment for dizziness takes many forms, depending on the cause. Your doctor will try to target the underlying condition in order to reduce or eliminate the symptoms.

Options include medication, physical or occupational therapy, surgery, repositioning exercises, vestibular retraining programs and lifestyle modifications such as dietary changes and elimination of alcohol and nicotine.